43D1053102 CLIA NUMBER - AVON SAVE A LIFE

Laboratory Demographics

  • CLIA Code: 43D1053102
  • Facility Name: AVON SAVE A LIFE
  • Facility Address: 201 NORTH MAIN STREET
    AVON, SD
    ZIP 57315
  • Facility Phone: 605 286-3619
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: KEVIN TJEERDSMA
  • NPI Number: 1548366925
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 43D1053102
LAB Type Ambulance
Facility Name AVON SAVE A LIFE
Street 201 NORTH MAIN STREET
City AVON
State SD
ZIP 57315
Phone 605 286-3619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Ambulance
Lab Director KEVIN TJEERDSMA

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This page was last updated on: 9/29/2025